Admitting Services Manager

Title:

Admitting Services Manager Reporting Relationship:

Chief Financial Officer General Summary of Responsibilities:

Planning, coordinating, organizing, directing, and controlling the Admitting Service activities of the Hospital. The Manager directs resources to achieve performance goals in support of the organization's overall strategic objectives. The Manager oversees all activities of reception, patient registration (access/admitting), insurance eligibility, precertification and medical necessity verification. Ensures that accurate demographic and billing documentation is obtained for all patients. Ensures that benefits are certified and financial counseling referrals are made and provided for all inpatients, observations, outpatient surgeries, and limited outpatient services.

Essential Job Functions:

Demonstrate through plans and actions that there is a consistent standard of excellence to which all departmental work is expected to conform. Align department goals to the Hospital's vision, mission and values. Develop performance standards for customer service and service recovery strategies. Participate in Hospital's performance improvement activities. Continually increase knowledge in the patient admitting functions by reviewing journals and periodicals, attending appropriate in-services and workshops, and attaining and maintaining of certification (Certified Healthcare Access Manager preferred). Coordinate educational opportunities for the department staff. Direct and coordinate admitting services staff. This functional area acts interdependently during a patient visit, contributing critical information required for clinical service and for procuring payment. Responsible for staff selection, departmental orientation, scheduling, day-to-day direction, cross-training, performance assessment and discipline. Coordinates the daily activities of the department to ensure registrations are completed as expected. Attend scheduled management meetings and conduct regular periodic staff meetings to inform employees of current issues, strategic plans, policy updates and to provide in-service training. Maintain a thorough understanding of the Hospital's Human Resource policies and a general understanding of Federal and State employment laws and regulations such as the Equal Employment Opportunity Act, Fair Labor Standards Act, and the Family Medical Leave Act. Maintain expert knowledge in the areas of patient access management including customer service, registration, insurance eligibility, precertification requirements, medical necessity, payer requirements, managed care contractual terms and requirements, health insurance practices, and industry regulatory requirements. Maintain working knowledge in the other areas of the revenue cycle including medical record coding, billing, accounts receivable, cash management, basic accounting, and industry standards for healthcare revenue resolution management practices. Communicate appropriately with patients to resolve insurance eligibility questions and problems. Collaborate with other departments to assure registrations are completed prior to scheduled patient visits. Collaborate with the Patient Financial Services department to assure that financial counseling is scheduled and completed prior to specific visit types. Collaborates with Patient Financial Services and Utilization Review to address payor requirements. Collaborates with Utilization Review to address patient status changes and assist with managed care denials. Maintain relationships with vendors that support department activities and continually assess their products and/or services against expectations. Communicate effectively with vendors to resolve problems. Perform administrative functions of the department such as budgeting for operations, staffing, minor and capital equipment. Monitor actual expenses compared to budget. Regularly analyze quality assurance registration indicators for: performance improvement and customer service opportunities, initial training and follow-up training curricula, coaching, discipline and department staffing. Establish and maintain effective departmental policies and procedures. Maintain up-to-date documentation of the procedures specific to this job description. Serve on various standing or ad-hoc committees. Other duties as assigned.

Other Job Functions:

Perform technical functions of the department, as necessary. Maintain professional certification(s). Attend mandatory in-services, trainings and meetings. Serve as the Information Technology resource specialist (super-user) for the revenue cycle team.

Education:

Required:

High School Diploma or GED Conditional:

Preferred:

Associates or Bachelor's Degree in

Business, Management, or Health Care Service Experience:

Required:

A minimum of five years of progressively responsible experience in a healthcare admitting or business office setting is required. Strong keyboarding skills and proficiency with Outlook, Internet Explorer, Word, Excel and Power Point. Proficiency with a variety of inter-related IT systems that support the primary patient accounting system, including: patient registration, insurance eligibility checking, and medical necessity verification.

Preferred:

A minimum of three years of progressively responsible experience in a Hospital admitting or business office setting plus two years supervisory and/or managerial experience is preferred. Excellent keyboarding skills and proficiency with Outlook, Internet Explorer, Word, Excel and Power Point. Proficiency with a variety of inter-related IT systems that support the primary patient accounting system, including: patient registration, insurance eligibility checking, and medical necessity verification. Demonstrated experience in researching, comparing, recommending and making selections for service contracts, IT hardware and software products and/or other significant capital projects. Experience in process improvement and/or quality management projects.

License/Certifications:

Required:

Valid Driver's License Preferred:

Certified Healthcare Access Manager (CHAM) Upon hire must provide copy of Immunization Record and disclose your current influenza immunization All offers of employment are subject to a Background check and drug screen. EOE